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SUPERVISOR, MEDICAL CODING in San Diego, CA at Scripps Med Foundation Administration

Date Posted: 1/16/2019

Job Snapshot

Job Description

At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.
You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.
Join a winning team supporting Scripps Health as a Supervisor, Medical Coding. Together, you’ll bring your expertise, compassion and excellence to all we do. The ideal candidate will thrive in a fast paced environment and enjoys providing world class customer service.
The Supervisor performs a variety of medical specialty based charge capture and/or coding functions (entering charges, reviewing and resolving coding edits, adding/removing modifiers, validating medical necessity, appropriately selecting the correct codes (ICD9/ICD10, CPT/HCPCS add modifiers), ensuring completeness of clinical documentation supports medical billing, performs partial/full record abstraction of charges and other medical coding or charge capture related duties. Reviews, processes and posts transaction data from patient accounts. Gathers, classifies, tabulates and proofreads financial data. Performs arithmetic calculations. Scans and electronically files documents. Checks items on reports, summarizing and posting the data to designated accounts, performs a variety of other fiscal office duties. Performs regular coding monitoring and educational reviews for providers and coding team to support meeting billing requirements for governmental and commercial payers. Provides timely and accurate updates to key stakeholders relative to coding updates and performance to maintain and/or improve reimbursement.
Responsible for assisting with charge reconciliation and charge corrections. Also responsible for reviewing providers who are on continued coding holds (aka Concurrent Coding Reviews). Responsible for assisting with the communication of annual coding updates to providers. Responsible for evaluating patient related coding disputes. Oversees and performs quality audits to assure consistency, accuracy and standardization of procedures and optimizes medical coding. Ensures compliance with policies/procedures and standards coding. Actively involved in improvement efforts, workflow design and validation with input on policies and procedures. Supervises departmental resources effectively. Performs quality audits, providing retraining or action plans as needed to improve accuracy and meet production/patient satisfaction targets. Generates and reviews reports to track performance outcomes, performs root cause analysis to identify performance improvement needs. Works with leadership on process improvement, tracks all efforts and outcomes. Monitors reports to identify additional process improvement opportunities. Assigns work based on staffing levels and work load to optimize productivity and meet department standards. Communicates with customers including clinical and non-clinical staff, physicians and leadership to manage department operations. Provides timely feedback to staff on job performance, improvement or corrective actions as needed. Provides input on and may conduct staff annual performance evaluations. Responsible for keeping abreast of current policies, practices and procedures and provide guidance to staff. Assists in urgent situations requiring immediate decision making. Responsible for assisting/preparing staff schedules and managing coverage arrangements to ensure excellent patient care.
Must demonstrate the ability to establish/maintain cooperative working relationships with staff, operations and providers. Proficient in preparation and presentation of summary information to provide clear and concise coding monitoring and quality updates to focused groups and finance leadership.

Job Requirements

Required Education/Experience/Specialized Skills:
  • 4 or more years coding or charge capture experience in ambulatory or professional fee billing with 2 year experience in utilization of spreadsheets, graphics, power point, analytics and database applications with focus on the performance of charge quality assessments.
  • 2 or more years of supervisor or leadership experience strongly preferred.
  • Strong working knowledge of commercial and governmental payor policies. Working experience in the use of medical terminology and Medicare regulatory requirements for coding, billing and reimbursement is required.
  • Familiarity with HIPAA privacy requirements for patient information. Basic understanding of medical ICD9/ICD10 codes, CPT/HCPC codes and modifiers. Ability to multitask, meet deadlines and stay organized. Must have excellent verbal and written communication skills and customer service skills.
  • Must be detail oriented with the ability to prioritize work. Requires a moderate level of interpersonal and problem solving skills. Knowledgeable on medical coding and billing specific to insurance and reimbursement processes.
Required Certification/Registration:
  • Requires certification from either Registered Health Information Technician (RHIT); Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA) or a comparable certification from another accredited coding organization.(i.e. Certified Professional Coder from the American Academy of Professional Coders).
Scripps Health is repeatedly named on the Fortune Magazine’s 100 Best Companies to work for, the only San Diego-based company and Becker’s Healthcare Top Hospitals. Scripps Health offers a robust Total Rewards Program designed to compensate and motivate you throughout your career. Scripps Health Total Rewards Program includes a broad range of plans and programs including market competitive pay and performance incentives, health and wellness benefits, financial wellness benefits, work-life resources, learning and development opportunities, and rewards and recognition. Unlock your potential with Scripps Health today
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability.